Liberty Family Care Llc
LBN: Liberty Family Care Llc
Liberty Family Care Llc is an health care organization with primary practice located at 8515 Liberty Rd Ste B , Randallstown MD 21133-4832. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty.
Liberty Family Care Llc can be contacted via phone (410) 301-6767, or through Olugboja, Bolaji via phone (410) 301-6767.
Contact Information
Primary practice address
8515 Liberty Rd Ste B
Randallstown MD 21133-4832
Phone: (410) 301-6767
Fax: (410) 496-3121
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | ||
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X |
Profile Details
NPI number | 1154098077 |
---|---|
LBN Legal business name | Liberty Family Care Llc |
DBA Doing business as | |
Authorized official | Olugboja, Bolaji CRNP |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 27th, 2021 |
Last updated | Dec 21st, 2021 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154098077 | NPPES |
Maryland | Other | R210237 | LICENSE |
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